Department of Midwifery, Frontier Nursing University, Hyden, Kentucky.
J Midwifery Womens Health. 2020 Jul;65(4):503-511. doi: 10.1111/jmwh.13092. Epub 2020 Apr 15.
Perinatal care providers are likely to encounter adverse events such as intrapartum emergencies, traumatic births, or maternal or fetal deaths. As a result of being directly or indirectly involved in an adverse event, health care providers can be considered second victims. The experience of the second victim phenomenon can lead to significant physical, psychological, and psychosocial sequelae that can negatively impact the provider's personal and professional life for either a short or long duration of time. When health care providers experience an adverse event, they may manifest symptoms of guilt, shame, blame, flashbacks, nightmares, insomnia, isolation, helplessness, and hopelessness, thereby becoming the second victim. Following an adverse event, health care providers who experience second victim phenomenon experience stages of recovery that influence subsequent professional and personal well-being. Persons who experience the second victim phenomenon can incorporate self-care behaviors to assist with recovery. Health care organizations have a responsibility to implement efficacious support programs that promote the provider's recovery and a return to safe and full function in the workplace.
围产期保健提供者可能会遇到分娩期急症、创伤性分娩或产妇或胎儿死亡等不良事件。由于直接或间接卷入不良事件，医疗保健提供者可能被视为第二受害者。第二受害者现象的经历可能导致显著的身体、心理和心理社会后遗症，从而对提供者的个人和职业生活产生短期或长期的负面影响。当医疗保健提供者经历不良事件时，他们可能会表现出内疚、羞耻、责备、闪回、噩梦、失眠、孤立、无助和绝望等症状，从而成为第二受害者。在不良事件发生后，经历第二受害者现象的医疗保健提供者会经历影响后续专业和个人福祉的恢复阶段。经历第二受害者现象的人可以采用自我保健行为来帮助恢复。医疗保健组织有责任实施有效的支持计划，促进提供者的恢复，并使其在工作场所安全和全面地恢复功能。
